Implementation of Smoking Cessation in Current Smokers Within NCI NCORP Community Sites

Inclusion Criteria

• PATIENT: Age 55-77, reflecting the age criteria for the United States Preventive Services Task Force (USPSTF) guideline-approved referral for lung screening
• PATIENT: Patient participants must also be a current smoker, defined as anyone who responds “every day” or “some days” to the question: “Do you smoke cigarettes every day, some days, or not at all?” (Behavioral Risk Factor Surveillance System [BRFSS])
• PATIENT: Patients with a history of lung and/or other cancer(s) (who do not have current signs or symptoms of lung cancer) will be eligible
• KEY INFORMANT: Member of the lung cancer screening team who is (or would be) responsible for implementation and/or supporting smoking cessation support for patients receiving lung cancer screening; this will include the program champion (intervention clinic only) and is likely to include: imaging facility program directors, health care providers (e.g., physicians, radiological technicians), and other staff (e.g., receptionist); coordinators of centralized services for tobacco cessation at the component/subcomponent would also be eligible
• KEY INFORMANT: Agrees to participate in a confidential 1-on-1 semi-structured interview with the research team
• KEY INFORMANT: Agrees to have the interview taped, transcribed and qualitatively analyzed

Exclusion Criteria

• PATIENT: Current use (previous 30 days) of a tobacco dependence treatment including bupropion, varenicline, and nicotine replacement because the person is trying to quit; use of bupropion for depression does not exclude the patient from participating; the occasional use of tobacco dependence treatment (e.g., nicotine replacement therapy [NRT]) to avoid using tobacco in public spaces is not considered to be an exclusion criteria
• PATIENT: Individuals who use e-cigarettes and who are not smoking cigarettes; dual users (those who use both e-cigarettes and cigarettes) will be included in the trial
• PATIENT: The presence of a physical or cognitive impairment that would prevent a person from engaging in survey research (such as blindness, deafness, or dementia)
• PATIENT: Individual has already completed the intended LDCT lung cancer screening for this study
• PATIENT: Non-English speaking
• KEY INFORMANT: Unwilling to participate